Syphilitic gastritis: a rare presentation of secondary syphilis
| Autor: | Qazi Azher, Mamoon M Elbedawi, Mohammed Osman, Ghassan Bachuwa, Saqib Hasan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Images In… Physical examination Epigastric pain Gastroenterology Rapid plasma reagin 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Syphilis Treponema pallidum Metaplasia medicine.diagnostic_test business.industry Stomach General Medicine Middle Aged medicine.disease medicine.anatomical_structure Gastric Mucosa 030220 oncology & carcinogenesis Gastritis Vomiting Abdomen Female medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | BMJ case reports. 2018 |
| ISSN: | 1757-790X |
| Popis: | A 55-year-old woman presented to the hospital with vomiting and epigastric pain for 3 weeks and coffee-ground vomitus for 1 day. She reported 6 kg of weight loss over a 1-month period. The patient had been sexually active with the same male partner for the past 20 years but reported her partner to be promiscuous. Physical examination was remarkable for epigastric tenderness. CT of the abdomen showed mural thickening of the stomach (figure 1). Upper endoscopy showed erythema and friable mucosa with nodularity (figure 2).Multiple biopsies revealed gastric syphilis with interstitial metaplasia, and immunostaining showed numerous Treponema pallidum (figures 3 and 4). Rapid plasma reagin (RPR) titre was 1:128 (normal: non-reactive). The patient received one dose of intramuscular penicillin G 2.4 million units and reported full resolution … |
| Databáze: | OpenAIRE |
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